Awosely Jacob
NPI #1003504325 in Far Rockaway, New York
Provider Information
- NPI Number
- 1003504325
- Entity Type
- Individual
- Name
- Awosely Jacob
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Non-emergency Medical Transport (VAN)
- Enumeration Date
- Apr 25, 2023
- Last Updated
- Apr 25, 2023
Practice Location
- Address
- 2041 ELK DR
- City
- Far Rockaway
- State
- New York
- ZIP Code
- 11691-3613
- Phone
- (929) 338-2412
Specialties & Taxonomy Codes
| Specialty |
|---|
| Non-emergency Medical Transport (VAN) |
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